| NPI | 1982317236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE MOORE Owner 386-590-7662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2023-01-02 |